TY - JOUR T1 - A surfeit of serotonin: Sumatriptan and serotonergic antidepressants AU - Knudsen JF, Friedman B, Chen M, Goldwasser JE Y1 - 1999/05/24 N1 - JO - Archives of Internal Medicine SP - 1141 EP - 1142 VL - 159 IS - 10 N2 - Schwartz raises an important issue, namely, what is the potential for pharmacodynamic interactions when drugs such as fluoxetine, an SSRI, is coadministered with other drugs known to affect neurotransmission, for example, sumatriptan? Such drugs may alter serotonin neurotransmission by different mechanisms of action. These include inhibition of serotonin reuptake or metabolism, increased synthesis or release, and direct stimulation of serotonin receptors. Sumatriptan, the first of the class of so-called triptans to be marketed, and the "new triptans" such as naratriptan, zolmitriptan, and rizatriptan are included in the last category. SN - 0003-9926 M3 - doi: UR - http://dx.doi.org/ ER -